File:The diagnosis and treatment of diseases of women (1907) (14761679966).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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tissue of the muscular layer comprises most of the connectivetissue of the uterus. It is not distributed in the form of distinct strata, butappears as irregular masses surrounding and supporting the important elements.There is a very intimate connection between the mucous membrane lining theuterus and the connective tissue of the muscular layer. 526 DISEASES OF THE UTERUS The blood vessels of the muscular layer include most of the vessels of the uterinewall. The arteries are distinguished in a microscopic section, by their thick wallsand folded intima. The outer vessels run in a longitudinal direction, while theinner vessels run perpendicular to the mucous surface. There is a dense capillarynetwork close to the mucous membrane. The veins are very large and have thin walls. The lymphatics of all the coats of the uterus (peritoneal, muscular and mucous)empty into large lymphatic vessels in the external muscular stratum. These inturn empty into efferent trunks at the sides of the uterus.
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Fig. 541. Endometrium of the child-bear-ing period. This specimen is from a womanaged 25 years. (Dudley—Practice of Gyne-cology.) Fig. 542. The endometrium after the meno-pause. Notice the diminution in thicknessand the scarcity oi the glands. Both speci-mens are magnified to the same extent.(Dudley—Practice of Gynecology.) The nerves of the muscular layer are derived from the sympathetic. The fila-ments ramify among the muscular bundles and terminate in the nuclei of themuscle cells. 3. Mucous layer. The mucous membrane of the uterus lies directly on theinternal muscular stratum, the usual submucous layer of loose connective tissue POINTS IN ANATOMY 527 being absent. Scattered muscular filaments extend into the mucosa, so the con-nection between the two is firm. The mucous membrane of the body of the uterusis known as the endometrium. That lining the cervix is known as the cervicalmucosa. The endometrium is about oV of an inch thick in the child-l3earing period, and isdisposed ov

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